Hi, I’m Dr. Courtney
I’m a pediatric occupational therapist, an AuDHD woman, and the person I needed when I was a kid who didn’t fit.
I help kids, teens, and late-diagnosed neurodiverse women build lives that feel like their own.
Kids don’t need fixing. They need to feel safe, known, and connected.
That belief shapes everything I do. I don’t write goals about compliance or sitting still. I build therapy around safety, autonomy, and joy, because that’s where real flexibility and confidence come from.
Regulation isn’t something a child learns from a chart. It’s borrowed before it’s built: kids learn to steady themselves by being with an adult who is steady with them. So connection always comes first.
I’m AuDHD. I know what it costs to mask, to be underestimated, and to be told the problem is you. I left high school without a diploma and later earned a clinical doctorate. I want your child to grow up knowing they never have to shrink to belong.
Behind that is more than 20 years in pediatric neurodevelopment and deep training in Ayres Sensory Integration. You’ll find the details below.
Who I work with
A lot of the kids who end up here have already been through therapy that didn't quite work not because the effort wasn't there, but because the approach wasn't built for how they actually work.
That's especially true for girls, who are still routinely missed by screening tools built around how boys present. It's true for high-masking kids, who've learned to hold it together at school and fall apart the second they get home, so nobody sees what that's actually costing them. And it's true for twice-exceptional kids gifted and neurodivergent at once, the ones who get told they're "too smart to be struggling this much," when the two things were never in conflict to begin with.
It's also true for LGBTQIA+ and gender-diverse kids and teens, who show up here more often than most people would guess the overlap between neurodivergence and queer or trans identity is well documented, and too often one gets treated as though it explains away the other. This is an affirming space, full stop: who a kid is doesn't get sorted out or minimized before we get to the actual work.
That focus doesn't stop at childhood. I also love working with late-diagnosed adults as we rebuild their health and sense of self after burnout, and redefining what life looks like once masking finally gets set down.
If your kid has already been through a program or two and something still didn't click, that's usually the sign you're in the right place, not the wrong one.
What Occupational Therapy Actually is
It isn’t about jobs. A child’s “occupations” are the things that fill their day: playing, getting dressed, eating, sleeping, learning, and making friends. OT helps when those everyday things feel harder than they should.
Many kids I see are bright and capable but find their bodies hard to organize, like getting started, planning a new movement, or keeping up on the playground. I practice within Ayres Sensory Integration, focused on praxis: how we plan, organize, and do things in the world. Kids learn best through the just-right challenge, where effort feels doable and the reward is real.
Learn more about OT and my approach HERE.
The Sensory Gym
Swings, climbing, and movement at GroWild in Camas, where most sessions happen.
The Farm
Horses and open space at Risewell Farm in Hockinson, for current clients when it fits their goals.
Focused Blocks
Weekly 60-minute sessions in 12–16 session blocks, with a re-evaluation at the end of each. Discharge is the goal.
A neurodiversity-affirming practice
Every service on this page starts from the same stance: neurodivergence is a difference to understand and build around, not a deficit to correct. Goals here are never about making a child look more typical, more compliant, or easier to manage they're about helping a child understand how their own brain and body actually work, and build real confidence and agency in that.
Goals get built with a child, not just about one. And no family is asked to work toward masking — the exhausting, invisible work of hiding who you are so you're easier for everyone else to be around.
This practice is also informed by Lindsey Mack's neurocomplexity model, a strengths-based way of thinking about neurodivergence that centers a person's interests and unique wiring instead of sorting them into diagnostic categories. You can read more about that framework here.
This isn't an abstract commitment. I'm AuDHD myself, and this practice was built by someone who's lived on both sides of being misunderstood and of finally being understood.
Clear prices, before you book
-
$480-$720 Evaluation, all-in, including the written report
-
$240. Weekly 60 minute sessions at the sensory gym or the farm. One flat rate.
-
$240 flat rate, for onsite consulting, lectures, and educational advocacy.
A small practice, on purpose
I work with a small number of families so I can do this well. Evaluations open one Monday a week. Current wait: 1–2 months for daytime, 6–8 months after school.